Sandbox/00020
< Sandbox
| Indications for therapeutic pericardiocentesis | |
| ❑ | Hemodynamic compromise and cardiac tamponade in patients with pericardial effusions (Class I) |
| ❑ | Effusions >20 mm in echocardiography in diastole (Class IIa) |
| ❑ | Large chronic effusions resistant to dialysis (Class IIa) |
| Indications for diagnostic pericardiocentesis | |
| ❑ | If additional procedures are available (e.g., pericardial fluid and tissue analyses, pericardioscopy, and epicardial/pericardial biopsy) which could reveal the etiology of the disease and permit further causative therapy (Class IIa) |
| ❑ | Suspected neoplastic effusion without tamponade (Class IIa) |
| Contraindications for pericardiocentesis | |
| ❑ | Aortic dissection |
| ❑ | Uncorrected coagulopathy |
| ❑ | Anticoagulant therapy |
| ❑ | Thrombocytopenia <50,000 per mm3 |
| ❑ | Small, posterior, and loculated effusions |
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